Case Study - Cervical Spondylitis

Cervical spondylitis is very common condition seen in most of the employs of IT profession. It is an inflammation of the cervical vertebrae which causes nerve impingement and leads to stiffness, pain in the neck and may radiates to arms. High risk factors are continuous work in front of the system for long duration without physical activity and the bad posture.

We had a female patient aged 37 years with the complaint of persistent neck pain for the past 1 year. Her pain aggravates on work, radiating to right arm, the nature of pain was pinching & pricking. she also had a complaint of heaviness in the occipital area with mild imbalance in gait. Patient was stressed and anxious due to her severe pain. She was fed up with pain and mentioned that nothing has worked for her pain after trying so many treatments and pain killers given to manage her pain. She had no hope to take any further treatment with us when she came for consultation. We made her understand the problem she is suffering from and explained the causes, prevention and treatment.

Treatment at VHG

Patient underwent prescribed external therapies of Ayurveda, acupuncture along with medicines for 8 days. Later on her follow up after 8 days, her pain was reduced to some extent and we advised one of Ayurveda panchakarma treatment (yoga basti) for 8 days. After completion of 2nd line of treatment, her pain was almost nil. Later on to strengthen her neck muscles, to reduce her physical and mental strain we thought her therapy yoga for 7 days.

Outcome based on pre and post assessment

Visual analogue scale & PDR Oswestry neck pain questionnaires are used to assess her pain before and after the treatment.

Visual analogue scale (VAS) is one pf the pain rating scale. Numeral rating scale is the most commonly used rating scale in VAS were 0 represents no pain and 10 is the worst pain.

PDR Oswestry neck pain questionnaire is designed to understand the severity of neck pain associated with difficulties in managing day today activities. It includes the questions related to pain intensity, personal care, headache, concentration etc.

Total score of PDR neck pain questionnaire between 0-4 is no disability, 5-14 is mild, 15-24 is moderate, 25-34 is severe and above 35 is worst.

Pre Post
Visual analogue scale 7/10 1/10
PDR Oswestry neck pain questionnaire 20 12

Follow up after yoga therapy was done and the participant was very happy with her very good response to the treatment and she was confident enough to manage with yoga without any stress or anxiety.

Conclusion

Combination of Ayurveda, yoga and acupuncture helped significantly to reduce her severe neck pain, stress and anxiety.